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Carrolltown Chiropractics Role in Back Pain Guidelines

Guidelines and recommendations for everything from how to properly change a light bulb to appropriately decide on whether to do back surgery fill our daily lives. Guidelines are appreciated by people facing a new task or a new health condition for the first time. Guidelines for the care of back pain have been available through the years, many citing non-surgical care including spinal manipulation as first line treatment. Just how well are those guidelines followed by involved healthcare practitioners, by back pain patients? Gormish Chiropractic & Rehabilitation found these recent reports attention-getting and thought our Carrolltown chiropractic patients would, too. We can all use them to create and go along with a guideline-based treatment plan.


Your Carrolltown chiropractor keeps abreast of the current guidelines to best help you, our Carrolltown back pain patient. Back in 2009, the American College of Physicians added spinal manipulation to its guidelines’ recommendations of appropriate spinal pain care choices. (1) Gormish Chiropractic & Rehabilitation uses the well-documented Cox® Technic System of Spinal Pain Management which has a published algorithm of decision-making for patients suffering pain below the knee and patients with pain that doesn’t extend below the knee with a goal of 50% improvement in a month of care. These guidelines came out in 1996 and have been tested in clinic-based data collections in the years since. (2) Such guidelines with research backing and proper clinical application soothe our Carrolltown chiropractic patients!


We hope so! Nearly 64% of chiropractors say they use (Cox®) flexion distraction with their spine pain patients and have the algorithm/guideline available to them. Gormish Chiropractic & Rehabilitation is one of those chiropractors. Beyond chiropractic, general guidelines for back pain care are available. Are they followed? A newly completed review of chiropractic and OT/PT use among 146,087 adults with low back pain in the past 3 months found that chiropractic care or OT/PT care for low back pain rose after clinical guidelines recommending their care were introduced in 2016. Between 2002 and 2018, a bit less than a third of said adults with low back pain reported getting chiropractic and/or PT/OT with a rise to a third after the 2016 clinical guidelines were released. (3) This does demonstrate that guidelines help with treatment planning but are not always followed. In Denmark where guidelines for low back pain care are outlined for primary care before referral found that 33% of patients had not undergone an adequate course of treatment in primary care before being referred. The patients were on average 53 years old with nearly 50% of them saying that they’d had pain for over a year, and 75% saying that they had pain below the knee. (4) Struggles in the healthcare system to follow guidelines are seemingly global.


A group of chiropractic leaders assembled their ideas on the role of the chiropractor in his/her own practice, with his/her own patients, within the healthcare community, and within society for healthcare. Very interesting! Individually, chiropractors described themselves as competent and well-educated spine and musculoskeletal care experts who provided evidence-based care based on the current research, clinical expertise, and patient values. They provided patient-centered care that spreads to cooperating with other healthcare providers with the best interest of the patient in mind. (5) Using guidelines, chiropractors are sure that they can help their back pain patients with those patient’s best interests in mind.

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Listen to this PODCAST with Dr. Ted Siciliano on The Back Doctors Podcast with Dr. Michael Johnson as he illustrates his use of The Cox® Technic System of Spinal Pain Management to relieve a patient dealing with back pain and foot drop.

Make your Carrolltown chiropractic appointment soon. Facing a serious bout of back pain is certainly not equivalent to changing a light bulb for the first time, but it is comforting to know that there are published guidelines to navigate the way through the task! 

Carrolltown chiropractic guidelines to manage back pain today and tomorrow 
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"This information and website content is not intended to diagnose, guarantee results, or recommend specific treatment or activity. It is designed to educate and inform only. Please consult your physician for a thorough examination leading to a diagnosis and well-planned treatment strategy. See more details on the DISCLAIMER page. Content is reviewed by Dr. James M. Cox I."